| Cobb Counseling Center Inc | |
|
4015 S Cobb Dr Se Suite 4 Smyrna GA 30080-6303 | |
| (770) 435-2931 | |
| (770) 435-2942 |
| Full Name | Cobb Counseling Center Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4015 S Cobb Dr Se, Smyrna, Georgia |
| Authorized Official Name and Position | Carlton D Haggard (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7704352931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobb Counseling Center Inc 4015 S Cobb Dr Se Suite 4 Smyrna GA 30080-6303 Ph: (770) 435-2931 | Cobb Counseling Center Inc 4015 S Cobb Dr Se Suite 4 Smyrna GA 30080-6303 Ph: (770) 435-2931 |
| NPI Number | 1154728780 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/25/2014 |
| Medicare PECOS PAC ID | 7012234438 |
|---|---|
| Medicare Enrollment ID | O20150324001917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154728780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW001456 (Georgia) | Primary |
| Provider Name | Carlton D Haggard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083617351 PECOS PAC ID: 8921901141 Enrollment ID: I20040127000796 |
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